We review diagnosis, management, treatment (medical, endoscopic and surgical) , prognosis, prevention and different algorithms about post ERCP perforation

1. POST ERCP
PERFORATION
REVIEW
MANAGEMENT
ALGORITHM
TREATMENT
PROGNOSIS
UPDATE 2016 MIGUEL CHAVEZ ROSSELL MD
ARZOBISPO LOAYZA HOSPITAL
LIMA PERU

2. EPIDEMIOLOGY
 Perforation rates with ERCP range from 0.1% to 0.6%
 Risk Factors:
- Sphincterotomy
- Billroth II anatomy
- The intramural injection of contrast
- Prolonged duration of procedure
- Biliary stricture dilation
- SOD
- Malignancy
- Precut access
Complications of ERCP

59. There is no consensus in the treatment of this complication
Treatment and prognosis depends on
1. Type of perforation
2. Delayed diagnosis
3. Experience in the management of the complication (surgical team)
4. Advanced endoscopic technology
Should be considered early diagnosis of post-ERCP perforation, when
performed during ERCP, or in the recovery room.
CONCLUSIONS